Hidradenitis Suppurativa Sinuses – Surgical Treatment

Skin Life & Aesthetic Clinic – Lahore
By Dr. Tahir Kamal | Consultant Dermatologist

Hidradenitis Suppurativa (HS) is a chronic inflammatory skin condition that affects areas containing apocrine sweat glands such as the armpits (axillae), groin, buttocks, and under the breasts. The disease often presents with painful nodules, recurrent abscesses, and the formation of sinus tracts (tunnels) beneath the skin. Over time, these sinuses may cause persistent discharge, scarring, and significant discomfort.

When medical treatments such as antibiotics and anti-inflammatory medications are not sufficient, surgical treatment is often required to remove the sinus tracts and provide long-term relief.

What Are Sinus Tracts in Hidradenitis Suppurativa?

In advanced hidradenitis suppurativa, repeated inflammation and infection lead to the formation of sinus tracts—abnormal tunnels under the skin connecting multiple abscesses. These sinus tracts can trap bacteria and inflammatory debris, making the disease persistent and difficult to control with medication alone.

When Is Surgical Treatment Recommended?

Surgical treatment may be recommended for patients who have:

• Chronic or recurrent abscesses

• Multiple interconnected sinus tracts

• Severe scarring and skin damage

• Persistent discharge and pain

• Poor response to medical treatment

In such cases, removing the diseased tissue can significantly improve symptoms and prevent further complications.

Surgical Treatment Options

Deroofing of Sinus Tracts

This technique involves removing the roof of the sinus tract, allowing the affected area to heal naturally. It is commonly used for localized disease and has a lower recurrence rate compared to simple drainage.

Excision of Sinus Tracts

In this procedure, the affected tissue containing the sinus tracts is surgically removed. This approach is effective in eliminating the source of chronic inflammation and infection.

Wide Surgical Excision

For advanced cases, complete removal of the affected skin and underlying sinus network may be required. This method provides the best long-term control of severe hidradenitis suppurativa.

Benefits of Surgical Treatment

Surgical management of hidradenitis suppurativa can help:

• Remove chronic sinus tracts and infected tissue

• Reduce pain and inflammation

• Prevent recurrent abscess formation

• Improve skin healing and quality of life

Expert Care at Skin Life & Aesthetic Clinic

At Skin Life & Aesthetic Clinic, hidradenitis suppurativa is carefully evaluated and treated using advanced dermatologic and surgical techniques. All procedures are performed by Dr. Tahir Kamal, ensuring:

✔ Accurate diagnosis and disease staging
✔ Safe and precise surgical treatment
✔ Proper wound care and follow-up
✔ Comprehensive long-term management of the disease

Book Your Consultation

If you are experiencing recurrent painful lumps, abscesses, or draining sinuses, early evaluation and treatment can prevent progression of the disease.

📍 Skin Life & Aesthetic Clinic – Lahore
📞 0333-4338833 | 042-36602500
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